Active NPI
Marion Nesbit Dasher Jr.
- Gastroenterology Physician
- Augusta, GA
National Provider Identifier
1538197488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 15366
- Practice address
- 820 Saint Sebastian Way
Suite 5B
Augusta, GA 30901-2643 - Phone
- (706) 722-2400
- Fax
- (706) 724-9211
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 15366 | GA | Primary |
Addresses
Primary practice location
820 Saint Sebastian Way
Suite 5B
Augusta, GA 30901-2643
Mailing address
820 Saint Sebastian Way
Suite 5B
Augusta, GA 30901-2643
Phone (706) 722-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00161818B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160422000434 | GA | Order and Referring Only - Gastroenterology | 4789603739 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive & Liver Disease Specialists | Gastroenterology | Current | Accepting new patients |
| Gastroenterology Consultants of Augusta, PC | Past | Accepting new patients |
Locations
820 Saint Sebastian Way
Ste 5B
Augusta, GA 30901
Phone (706) 722-2400
Interoperability endpoints
- https://api.platform.athenahealth.com/15547/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Augusta, GA
- NPI 1194760553
-
- Anesthesiology Physician
- Evans, GA
- NPI 1255974226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1538197488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 SAINT SEBASTIAN WAY",
"address_2": "SUITE 5B",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012643",
"telephone_number": "706-722-2400",
"fax_number": "706-724-9211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 SAINT SEBASTIAN WAY",
"address_2": "SUITE 5B",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012643",
"telephone_number": "706-722-2400",
"fax_number": "706-724-9211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DASHER",
"first_name": "MARION",
"middle_name": "NESBIT",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "15366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00161818B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.